The Glory House of Sioux Falls

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

THE GLORY HOUSE OF SIOUX FALLS

Practice address

4000 S West Ave
Sioux Falls, SD 57105-6601

Phone

(605) 332-3273

Fax

(605) 332-6410

NPI assigned

Jan 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Cleveringa, MS, LAC

Title

Program Manager

Phone

(605) 332-3273

Specialties & licenses 1

Addresses

Tax ID family

The Glory House of Sioux Falls2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Glory House of Sioux Falls

  • Substance Abuse Rehabilitation Facility
  • Sioux Falls, SD
  • NPI 1902937394
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1285445684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88145",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571098145",
            "telephone_number": "605-332-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S WEST AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056601",
            "telephone_number": "605-332-3273",
            "fax_number": "605-332-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GLORY HOUSE OF SIOUX FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "CLEVERINGA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "605-332-3273",
        "authorized_official_credential": "MS, LAC"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Eye Doctors PC
• The Glory House of Sioux Falls
• The Lost and Found Association
• The Page Company LLC
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• Community Health Worker in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Community Health Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.